HAWTHORNE PEDIATRICS LLC NPI 1336525260

NPI Information

  • NPI: 1336525260
  • Provider Name: HAWTHORNE PEDIATRICS, LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 31D2111044
  • Address: 330 LAFAYETTE AVE
    HAWTHORNE, NJ
    ZIP 07506
  • Phone: (973) 841-5112

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NPI Details

HAWTHORNE PEDIATRICS, LLC is a clinic center in Hawthorne, NJ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). HAWTHORNE PEDIATRICS, LLC NPI is 1336525260. The provider is registered as an organization entity type.

The provider's business location address is:

330 LAFAYETTE AVE
HAWTHORNE, NJ
ZIP 07506-506
Phone: (973) 841-5112
Fax: (973) 826-5064

The provider's authorized official is Maria Jose Vasena Marengo .
The authorized official title is Owner and has the following contact phone number (973) 841-5112.

The CLIA number assigned to this NPI record is 31D2111044 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2015 and was last updated on 8/5/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center25MA09694700NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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